1769 Atlantic Beach Dr ERES20-0238 pool elec permitOWNER:ADDRESS:CITY:STATE:ZIP:
ADCOCK BRIAN J 14560 ISLAND DR JACKSONVILLE FL 32250
COMPANY:ADDRESS:CITY:STATE:ZIP:
HAZOURI ELECTRIC, INC.6142 Golden Oak Lane Keystone Heights FL 32656
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169505 1475 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1769 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL SWIMMING POOL -
ELECTRICAL $985.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 10/9/2020
PERMIT NUMBER
ERES20-0238
ISSUED: 10/9/2020
EXPIRES: 4/7/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 10/9/2020
PERMIT NUMBER
ERES20-0238
ISSUED: 10/9/2020
EXPIRES: 4/7/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ERES20-0238
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ERES20-0238 Address: 1769 ATLANTIC BEACH DR APN: 169505 1475 $99.00
ELECTRICAL $95.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R13757 $99.00
Printed: Friday, October 9, 2020 3:24 PM
Date Paid: Friday, October 09, 2020
Paid By: Ernest hazouri
Pay Method: CREDIT CARD 384957557
1 of 1
Cashier: JJ
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R13757